Beginning Jan. 1, 2014, HHS will pay 100 percent of states' cost to insure certain newly eligible adult Medicaid beneficiaries in states that expand the program, according to a final rule issued by the department.
Through 2016, HHS will make the payments in full and taper down to a permanent 90 percent matching rate by 2020 for states that increase their Medicaid program eligibility criteria to 133 percent of the poverty line. Since the federal government disregards 5 percent of income when determining eligibility, the ceiling effectively becomes 138 percent of the federal poverty line.
The government will cover 100 percent of the cost of beneficiaries who are newly eligible for Medicaid due to states' voluntary changes to the program, but HHS included in the rule provisions to fund coverage for some adults who are not newly eligible. The rule also includes details for eligibility screening, flexibility for states in delivering Medicaid coverage, information on audits and specifics on states' authority to change parts of Medicaid without a waiver.
More Articles on Billing and Coding:
Sequestration: Medicare 2% Physician Payment Cuts Due Monday
Report: Waste, Overuse May be Creating Geographic Medicare Spending Gaps
Report: 29 States Earn Failing Rating in Healthcare Price Transparency
Through 2016, HHS will make the payments in full and taper down to a permanent 90 percent matching rate by 2020 for states that increase their Medicaid program eligibility criteria to 133 percent of the poverty line. Since the federal government disregards 5 percent of income when determining eligibility, the ceiling effectively becomes 138 percent of the federal poverty line.
The government will cover 100 percent of the cost of beneficiaries who are newly eligible for Medicaid due to states' voluntary changes to the program, but HHS included in the rule provisions to fund coverage for some adults who are not newly eligible. The rule also includes details for eligibility screening, flexibility for states in delivering Medicaid coverage, information on audits and specifics on states' authority to change parts of Medicaid without a waiver.
More Articles on Billing and Coding:
Sequestration: Medicare 2% Physician Payment Cuts Due Monday
Report: Waste, Overuse May be Creating Geographic Medicare Spending Gaps
Report: 29 States Earn Failing Rating in Healthcare Price Transparency